MEDICARE: THE ATTENTION INSTITUTE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1396623336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ATTENTION INSTITUTE INC

Provider Business Mailing Address
First Line	:	425 TOWN PLAZA AVE
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-5164
Country	:	US
Telephone Number	:	904-422-2321
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 TOWN PLAZA AVE
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-5164
Country	:	US
Telephone Number	:	904-422-2321
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	RAGHAVENDRA MISRA
Credential	:
Telephone Number	:	904-385-9131

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	08/26/2025

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