Organization Active NPI

Polaris Academy LLC

  • Early Intervention Provider Agency
  • Mesa, AZ
National Provider Identifier
1871306761
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
POLARIS ACADEMY LLC
Practice address
1440 S Clearview Ave
Mesa, AZ 85209-3380
Phone
(480) 903-1710
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Crupi, M.S., BCBA-LBANPI 1295221133
Title
Director of Behavior Services
Phone
(480) 903-1710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1440 S Clearview Ave
Mesa, AZ 85209-3380

Mailing address

2913 N Power Rd Ste 108
Mesa, AZ 85215-1742
Phone (480) 903-1710

National Provider Directory

National Provider Directory

Locations

1440 S Clearview Ave
Mesa, AZ 85209
Phone (480) 903-1710

2913 N Power Rd
Ste 108
Mesa, AZ 85215
Phone (480) 903-1710

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1871306761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 N POWER RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151742",
            "telephone_number": "480-903-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S CLEARVIEW AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093380",
            "telephone_number": "480-903-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "CRUPI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIOR SERVICES",
        "authorized_official_telephone_number": "480-903-1710",
        "authorized_official_credential": "M.S., BCBA-LBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.