Active NPI
Rivkah M Eidex PSYD PC
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1447545090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2499
- Legal business name
- RIVKAH M EIDEX PSYD PC
- Practice address
- 6727 Evanston Rd
Baltimore, MD 21209-3865 - Phone
- (404) 321-0250
- Fax
- (404) 321-3535
- NPI assigned
- Jun 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rivkah M Eidex, PSYD
- Title
- Psychologist
- Phone
- (404) 321-0250
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2499 | GA | Primary |
Addresses
Primary practice location
6727 Evanston Rd
Baltimore, MD 21209-3865
Mailing address
6727 Evanston Rd
Baltimore, MD 21209-3865
Phone (404) 321-0250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000902217A | Medicaid | GA |
Other names 1
- eidex testing center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2512 N Druid Hills Rd NE
Atlanta, GA 30329
Phone (404) 321-0250
1276 McConnell Dr
Ste A
Decatur, GA 30033
Phone (404) 321-0250
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758931200000",
"number": "1447545090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6727 EVANSTON RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093865",
"telephone_number": "404-321-0250",
"fax_number": "404-321-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6727 EVANSTON RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093865",
"telephone_number": "404-321-0250",
"fax_number": "404-321-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVKAH M EIDEX PSYD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-12",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A",
"authorized_official_last_name": "EIDEX",
"authorized_official_first_name": "RIVKAH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "404-321-0250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "2499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000902217A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "eidex testing center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.