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NORTHWAY ACADEMY, INC. BEHAVIOR SUPPORTS
NPI 1578138202
Clinic/Center - Developmental Disabilities in Saint Cloud, MN

Active since May 25, 2021
109 DOCTORS PARK, SAINT CLOUD, MN 56303(320) 774-1908(952) 945-4918 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, May 25, 2021 (2 updates tracked since 2021).

About Northway Academy, Inc. Behavior Supports NPPES

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

NORTHWAY ACADEMY, INC. BEHAVIOR SUPPORTS (NPI 1578138202) is a healthcare organization registered as a developmental disabilities in Saint Cloud, Minnesota and active in the NPI registry since May 2021. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst Gc, as its authorized official.

NPPES Registry Identity

NPI1578138202
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNORTHWAY ACADEMY, INC.
Location Address109 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) 774-1908
Fax(952) 945-4918
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst Gc · (952) 836-2234
Enumeration DateMay 25, 2021
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1578138202 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.).
109 DOCTORS PARK, Saint Cloud, MN 56303
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Other Names 1

Doing Business AsNorthway Academy, Inc. Behavior Supports

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.

JODI LYNN POSTERICK
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908
SABINA A. TUABU
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908
COURTNEY LYNN HELLERMANN
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908
CHAM OCHALA ODOL
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908
SANA A. GURHAN
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908
HASAN ABDULLAHI SABRIYE
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908
MAHAD MOHAMUD FARAH
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908
ANNA MAE LUDESCHER
Behavior Technician
109 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-1908

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 1578138202. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider is doing business as Northway Academy, Inc. Behavior Supports.

Where is Northway Academy, Inc. located?

Northway Academy, Inc. is located at 109 Doctors Park, Saint Cloud, MN 56303. The listed phone number is (320) 774-1908.

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.

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.