Northway Academy, Inc.
Northway Academy, Inc. is a healthcare organization registered as Developmental Disabilities Clinic/Center in Saint Cloud, MN, holding Type 2 (organization) NPI 1366102618 since 2021. The authorized official on file is Mary Rodenberg-Roberts, Vp & Sr Asst Gc.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366102618 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northway Academy, Inc. |
| Other name | <Unavail> |
| Practice address | 1775 ROOSEVELT RD, Saint Cloud, MN, 56301 |
| Phone | 3202900693 |
| Fax | 9529226885 |
| Enumeration date | 2021-12-28 |
| Last updated in NPPES | 2024-01-23 |
Authorized official
| Name | Mary Rodenberg-Roberts |
|---|---|
| Title | Vp & Sr Asst Gc |
| Phone | 9528362234 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD1600X | Developmental Disabilities Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Northway Academy, Inc. NPI: 1366102618 Taxonomy: 261QD1600X (Developmental Disabilities Clinic/Center) Address: 1775 ROOSEVELT RD, Saint Cloud, MN, 56301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881511509 | Skyla Sprague | Individual | Behavior Technician | Saint Cloud, MN |
| 1265045447 | Meghan Minor | Individual | Behavior Analyst | Saint Cloud, MN |
| 1609525005 | Olivia Johnson | Individual | Behavior Technician | Saint Cloud, MN |
| 1700515541 | Angela Jurgens | Individual | Behavior Technician | Saint Cloud, MN |
| 1427782606 | Mariah Berg | Individual | Behavior Technician | Saint Cloud, MN |
| 1477279354 | Samantha Hawkins | Individual | Behavior Technician | Saint Cloud, MN |
| 1932818390 | Alfreda Yarweh | Individual | Behavior Technician | Saint Cloud, MN |
| 1386355899 | Glenn Mulbah | Individual | Behavior Technician | Saint Cloud, MN |
Verify this record
Cross-check NPI 1366102618 against the authoritative CMS record: view Northway Academy, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Northway Academy, Inc.?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-23.