Healthcare Provider Details

I. General information

NPI: 1265327175
Provider Name (Legal Business Name): LAUNCH PSYCHOLOGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

591 NORTH AVE UNIT 51A-A
WAKEFIELD MA
01880-1647
US

IV. Provider business mailing address

591 NORTH AVE UNIT 51A-A
WAKEFIELD MA
01880-1647
US

V. Phone/Fax

Practice location:
  • Phone: 781-208-0780
  • Fax: 781-872-1009
Mailing address:
  • Phone: 781-208-0780
  • Fax: 781-872-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ILANA BLATT-EISENGART
Title or Position: OWNER
Credential: PH.D.
Phone: 781-315-6248