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BODY IMAGE THERAPY CENTER INTENSIVE
NPI 1982035994
Clinic/Center - Multi-Specialty in Washington, DC

Active since December 02, 2013
2639 CONNECTICUT AVE NW STE 251, WASHINGTON, DC 20008(877) 674-2843 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Nov 18, 2020 (2 updates tracked since 2020).

About Body Image Therapy Center Intensive NPPES

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

BODY IMAGE THERAPY CENTER INTENSIVE (NPI 1982035994) is a healthcare organization registered as a multi-specialty in Washington, District Of Columbia and active in the NPI registry since December 2013. The organization maintains 2 additional practice locations and lists Jeremy Reals, Outpatient Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1982035994
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBODY IMAGE THERAPY CENTER INTENSIVE
Location Address2639 CONNECTICUT AVE NW STE 251Washington, DC 20008-2651
Mailing Address2639 Connecticut Ave Nw Ste 251Washington, DC 20008-2651 · (240) 722-1014
Phone(877) 674-2843
Organization SubpartYesParent: The Body Image Therapy Center, Llc
Authorized OfficialJeremy RealsOutpatient Operations Manager · (202) 819-5000
Enumeration DateDecember 2, 2013
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
✔ NPI 1982035994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
2639 CONNECTICUT AVE NW STE 251, Washington, DC 20008
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Secondary Practice Locations 2

Location 13521 Buckeystown PikeBuckeystown, MD 21717 · Phone (877) 674-2843
Location 29192 Red Branch Rd, Suite 270Columbia, MD 21045-2030 · Phone (443) 602-6515

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

ANZERIBIAM YVONNE AKUM MS,RDN, LDN
Dietitian, Registered
2639 CONNECTICUT AVE NW STE 251
WASHINGTON, DC 20008
District of Columbia (240) 722-1014
JULIA ELTZROTH RDN
Dietitian, Registered
2639 CONNECTICUT AVE NW STE 251
WASHINGTON, DC 20008
District of Columbia (443) 800-1528
HAYLEY TELES GOULD MS, EDS
Counselor (Mental Health)
2639 CONNECTICUT AVE NW STE 251
WASHINGTON, DC 20008
District of Columbia (240) 722-1014
MS. JULIANNE ROSE SCHNEPP
Counselor (Mental Health)
2639 CONNECTICUT AVE NW STE 251
WASHINGTON, DC 20008
District of Columbia (877) 674-2843
JANE ROBICHAUD MCMILLAN RD, LD
Dietitian, Registered
2639 CONNECTICUT AVE NW STE 251
WASHINGTON, DC 20008
District of Columbia (877) 674-2843
BRIANNA GRAHAM
Counselor (Mental Health)
2639 CONNECTICUT AVE NW STE 251
WASHINGTON, DC 20008
District of Columbia (240) 722-1014
KATELYN LEE MANGA RDN
Dietitian, Registered
2639 CONNECTICUT AVE NW STE 251
WASHINGTON, DC 20008
District of Columbia (877) 674-2843

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 Body Image Therapy Center Intensive's NPI number?

The NPI number for Body Image Therapy Center Intensive is 1982035994. It was assigned to this organization in the NPPES registry on December 2, 2013.

Where is Body Image Therapy Center Intensive located?

Body Image Therapy Center Intensive is located at 2639 Connecticut Ave NW Ste 251, Washington, DC 20008. The listed phone number is (877) 674-2843.

What is Body Image Therapy Center Intensive's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Body Image Therapy Center Intensive was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.