Healthcare Provider Details

I. General information

NPI: 1336055144
Provider Name (Legal Business Name): BERNICE RIVKIN CERTIFIED DOULA (DON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3779 SEVERN RD
CLEVELAND HEIGHTS OH
44118-1908
US

IV. Provider business mailing address

3779 SEVERN RD
CLEVELAND HEIGHTS OH
44118-1908
US

V. Phone/Fax

Practice location:
  • Phone: 773-965-5221
  • Fax:
Mailing address:
  • Phone: 773-965-5221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberDOU.000295
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: