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NORTHWAY ACADEMY, INC. ST. CLOUD SOUTH
NPI 1366102618
Clinic/Center - Developmental Disabilities in Saint Cloud, MN

Active since December 28, 2021
1775 ROOSEVELT RD, SAINT CLOUD, MN 56301(320) 290-0693(952) 922-6885 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Dec 28, 2021 (2 updates tracked since 2021).

About Northway Academy, Inc. St. Cloud South NPPES

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

NORTHWAY ACADEMY, INC. ST. CLOUD SOUTH (NPI 1366102618) is a healthcare organization registered as a developmental disabilities in Saint Cloud, Minnesota and active in the NPI registry since December 2021. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst Gc, as its authorized official.

NPPES Registry Identity

NPI1366102618
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNORTHWAY ACADEMY, INC.
Location Address1775 ROOSEVELT RDSaint Cloud, MN 56301-2207
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (952) 563-2207 · Fax (952) 922-6885
Phone(320) 290-0693
Fax(952) 922-6885
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst Gc · (952) 836-2234
Enumeration DateDecember 28, 2021
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1366102618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.).
1775 ROOSEVELT RD, Saint Cloud, MN 56301
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Other Names 1

Doing Business AsNorthway Academy, Inc. St. Cloud South

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.

CALEB NOTCH
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 774-3464
ASHLEY MARIE THIELEN
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 774-3464
JEWELZ GONZALEZ
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 248-9170
TABITHA PAIGE DIETZ
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 774-3464
JULIE ANN EUTENEUER
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 774-3464
CODY ROBERT BUSS
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 774-3464
NYANOM RIAL RITH
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 774-3464
CYNTHIA CASTELLON
Behavior Technician
1775 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (320) 774-3464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Northway Academy, Inc. is 1366102618. It was assigned to this organization in the NPPES registry on December 28, 2021. The provider is doing business as Northway Academy, Inc. St. Cloud South.

Where is Northway Academy, Inc. located?

Northway Academy, Inc. is located at 1775 Roosevelt Rd, Saint Cloud, MN 56301. The listed phone number is (320) 290-0693.

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.

What insurance does Northway Academy, Inc. accept?

Health plans from Sanford Health Plan list Northway Academy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northway Academy, Inc. was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.