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JERREN WEEKES-KANU PH.D.
NPI 1851756738
Psychologist - Health Service in Canton, MI

Active since December 21, 2015Opted out of Medicare · through Dec 15, 2027
41086 WILLIAMSBURG BLVD, CANTON, MI 48187(248) 990-5780 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerren Weekes-kanu Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERREN WEEKES-KANU PH.D. (NPI 1851756738) is an individual health service provider in Canton, Michigan, licensed in Michigan (6301015751) and active in the NPI registry since December 2015. She has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1851756738
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameJERREN WEEKES-KANUCredential: PH.D.
Location Address41086 WILLIAMSBURG BLVDCanton, MI 48187-3878
Mailing Address41086 Williamsburg BlvdCanton, MI 48187-3878
Phone(248) 990-5780
Sole ProprietorNo
Enumeration DateDecember 21, 2015
✔ NPI 1851756738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in MI · 6301015751
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

41086 WILLIAMSBURG BLVD, Canton, MI 48187
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jerren Weekes-kanu Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2023 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2023
Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerren Weekes-kanu's NPI number?

The NPI number for Jerren Weekes-kanu is 1851756738. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Jerren Weekes-kanu located?

Jerren Weekes-kanu practices at 41086 Williamsburg Blvd, Canton, MI 48187. The listed phone number is (248) 990-5780.

What is Jerren Weekes-kanu's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Jerren Weekes-kanu enrolled in Medicare?

No. Jerren Weekes-kanu has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jerren Weekes-kanu was last updated on December 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.