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NORTHWAY ACADEMY, INC
NPI 1871475624
Clinic/Center - Developmental Disabilities in Shakopee, MN

Active since July 23, 2025
4201 DEAN LAKES BLVD, SHAKOPEE, MN 55379(320) 774-3464 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northway Academy, Inc NPPES

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

NORTHWAY ACADEMY, INC (NPI 1871475624) is a healthcare organization registered as a developmental disabilities in Shakopee, Minnesota and active in the NPI registry since July 2025. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr. Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1871475624
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNORTHWAY ACADEMY, INC
Location Address4201 DEAN LAKES BLVDShakopee, MN 55379-2829
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (952) 922-6776
Phone(320) 774-3464
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr. Asst General Counsel · (952) 836-2234
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1871475624 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.).
4201 DEAN LAKES BLVD, Shakopee, MN 55379
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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.

KATELYN SOEFFKER URES
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 509-6681
ASHLYN RECHTIENE
Technician, Other
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301
ELLIE BUABENG
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301
EMILY ENGE
Occupational Therapist
4201 DEAN LAKES BLVD, UNIT 160
SHAKOPEE, MN 55379
Scott County (612) 416-1301
HARLEY JEAN BRAKE WALKER
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (320) 241-2413
SYDNEY STOKES
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 509-6681
LISA LE
Student in an Organized Health Care Education/Training Program
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301
KATHLEEN NICOLE SHERER
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301

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 1871475624. It was assigned to this organization in the NPPES registry on July 23, 2025.

Where is Northway Academy, Inc located?

Northway Academy, Inc is located at 4201 Dean Lakes Blvd, Shakopee, MN 55379. The listed phone number is (320) 774-3464.

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 July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.