Northway Academy, Inc.
NPI 1912645516 · Developmental Disabilities Clinic/Center · Saint Michael, MN
Northway Academy, Inc. is a Developmental Disabilities Clinic/Center organization in Saint Michael, MN (NPI 1912645516).
Provider details
- NPI number
- 1912645516
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst Gc(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Northway Academy, Inc. St. Michael
- Other name
- Northway Academy, Inc. St. Michael
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Frequently asked questions
- What is Northway Academy, Inc.'s NPI number?
- Northway Academy, Inc.'s National Provider Identifier (NPI) is 1912645516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northway Academy, Inc.?
- Northway Academy, Inc. is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northway Academy, Inc. located?
- Northway Academy, Inc.'s practice location on file with NPPES is 12070 43rd St Ne, Saint Michael, MN 55376-8427.
- What is Northway Academy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northway Academy, Inc. is (952) 563-2207.
- Who is the authorized official for Northway Academy, Inc.?
- The authorized official listed on Northway Academy, Inc.'s NPPES record is Mary Rodenberg-Roberts, Vp & Sr Asst Gc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northway Academy, Inc.'s NPI active?
- Yes — Northway Academy, Inc.'s NPI (1912645516) is active in the NPPES registry as of the last update on 2024-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.