Organization Active NPI

Rivkah M Eidex PSYD PC

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1447545090
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2499 Issued in GA
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

Updated by the provider on Sep 27, 2025

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

Authorized official

Name
Dr. Rivkah M Eidex, PSYDNPI 1760588008
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000902217AMedicaidGA

Other names 1

  • eidex testing center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110801000867 GA Part B Supplier - Clinic/Group Practice 0941479380 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.