NORTHWAY ACADEMY, INC.
NPI 1104333715
Clinic/Center - Developmental Disabilities in Saint Cloud, MN

Q: What is Northway Academy, Inc.'s NPI number?

The NPI number for Northway Academy, Inc. is 1104333715. It was assigned to this organization in the NPPES registry on January 4, 2018. The provider was formerly known as Rem Central Lakes, Inc. Northway Academy.

Q: What is Northway Academy, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since January 04, 2018

108 DOCTORS PARK, SAINT CLOUD, MN 56303(320) 259-6022(952) 922-6885 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Jan 18, 2022, Jul 21, 2020 (3 updates tracked since 2020).

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About Northway Academy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWAY ACADEMY, INC. (NPI 1104333715), doing business as Rem Central Lakes, Inc. Northway Academy, is a healthcare organization registered as a developmental disabilities in Saint Cloud, Minnesota and active in the NPI registry since January 2018. The organization lists Mary Patricia Rodenberg-roberts, Vice Pres & Sr. Asst Gc, as its authorized official.

NPPES Registry Identity

NPI1104333715

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameNORTHWAY ACADEMY, INC.

Location Address108 DOCTORS PARKSaint Cloud, MN 56303-1207

Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (952) 563-2207 · Fax (952) 922-6885

Phone(320) 259-6022

Fax(952) 922-6885

Organization SubpartNo

Authorized OfficialMary Patricia Rodenberg-robertsVice Pres & Sr. Asst Gc · (952) 836-2234

Enumeration DateJanuary 4, 2018

Last NPPES UpdateJanuary 23, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2024

✔ NPI 1104333715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

108 DOCTORS PARK, Saint Cloud, MN 56303

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Other Names 1

Former Legal Business NameRem Central Lakes, Inc. Northway Academy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REVA OLIVIA RUSH DANIELS

Behavior Technician