Individual provider Active NPI

Rivkah Eidex, PSY.D.

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1760588008
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
07277 Issued in MD
Practice address
6727 Evanston Rd
Baltimore, MD 21209-3865
Phone
(404) 641-3695
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 07277 MD Primary

Addresses

Primary practice location

6727 Evanston Rd
Baltimore, MD 21209-3865

Mailing address

6727 Evanston Rd
Baltimore, MD 21209-3865
Phone (404) 641-3695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000444 GA Practitioner - Clinical Psychologist 1355426073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1457 Holly LN NE
Atlanta, GA 30329-3515
Phone (404) 641-3695

2512 N Druid Hills Rd NE
Atlanta, GA 30329-3213
Phone (404) 321-0250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07277MDMDClinical Psychologist
002499GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Joan Kent Or Dr. Donald Kent Past Accepting new patients
Gary Santavicca, PH.D. and Associates Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1760588008",
    "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": "404-641-3695"
        },
        {
            "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": "404-641-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDEX",
        "first_name": "RIVKAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "07277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.