NORTHWAY ACADEMY, INC. ST. MICHAEL
NPI 1912645516
Clinic/Center - Developmental Disabilities in Saint Michael, MN

Active since May 24, 2022
12070 43RD ST NE, SAINT MICHAEL, MN 55376(952) 563-2207(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.

About Northway Academy, Inc. St. Michael NPPES

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

NORTHWAY ACADEMY, INC. ST. MICHAEL (NPI 1912645516) is a healthcare organization registered as a developmental disabilities in Saint Michael, Minnesota and active in the NPI registry since May 2022. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst Gc, as its authorized official.

NPPES Registry Identity

NPI1912645516
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNORTHWAY ACADEMY, INC.
Location Address12070 43RD ST NESaint Michael, MN 55376-8427
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (525) 632-2079 · Fax (952) 922-6885
Fax(952) 922-6885
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst Gc · (952) 836-2234
Enumeration DateMay 24, 2022
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
NPI 1912645516 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.).
12070 43RD ST NE, Saint Michael, MN 55376

Other Names 1

Other NameNorthway Academy, Inc. St. Michael

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Behavior Analyst
12070 43RD ST NE
SAINT MICHAEL, MN 55376
Behavior Technician
12070 43RD ST NE
SAINT MICHAEL, MN 55376
Behavior Technician
12070 43RD ST NE
SAINT MICHAEL, MN 55376

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 1912645516. It was assigned to this organization in the NPPES registry on May 24, 2022. The provider is also known as Northway Academy, Inc. St. Michael.

Where is Northway Academy, Inc. located?

Northway Academy, Inc. is located at 12070 43rd St NE, Saint Michael, MN 55376. The listed phone number is (952) 563-2207.

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.