Provider Demographics
NPI:1659260701
Name:VERSCHLEISSER, CHAIM (MED)
Entity type:Individual
Prefix:
First Name:CHAIM
Middle Name:
Last Name:VERSCHLEISSER
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KFAR IVRI 1
Mailing Address - Street 2:APT 3
Mailing Address - City:JERUSALEM
Mailing Address - State:JERUSALEM
Mailing Address - Zip Code:9747201
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KFAR IVRI 1
Practice Address - Street 2:APT 3
Practice Address - City:JERUSALEM
Practice Address - State:JERUSALEM
Practice Address - Zip Code:9747201
Practice Address - Country:IL
Practice Address - Phone:516-882-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health