Healthcare Provider Details

I. General information

NPI: 1982574059
Provider Name (Legal Business Name): OLIVE TREE PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 N MILL ST STE B
NAPERVILLE IL
60563-4870
US

IV. Provider business mailing address

1805 N MILL ST STE B
NAPERVILLE IL
60563-4870
US

V. Phone/Fax

Practice location:
  • Phone: 630-313-2496
  • Fax:
Mailing address:
  • Phone: 630-313-2496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TABATHA RITENOUR
Title or Position: OWNER/ CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 312-933-7477