Healthcare Provider Details

I. General information

NPI: 1306213723
Provider Name (Legal Business Name): CHRISTEN SCHILLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11835 QUEENS BLVD
FOREST HILLS NY
11375-7200
US

IV. Provider business mailing address

11835 QUEENS BLVD STE 400
FOREST HILLS NY
11375-7211
US

V. Phone/Fax

Practice location:
  • Phone: 646-656-0164
  • Fax: 718-520-7612
Mailing address:
  • Phone: 646-656-0164
  • Fax: 718-520-7612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P139517-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: