Active NPI
Ryan Pelon
- Behavior Analyst
- Gladwin, MI
National Provider Identifier
1457817124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1234 W Cedar Ave
Gladwin, MI 48624-1818 - Phone
- (616) 485-8571
- NPI assigned
- Feb 18, 2019
- Last updated
- Apr 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MI | Primary | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1234 W Cedar Ave
Gladwin, MI 48624-1818
Mailing address
4522 Nickleplate Rd
Ionia, MI 48846-9745
Phone (616) 485-8571
Other practice location 1
5943 Stadium Dr
Kalamazoo, MI 49009-3016
Phone (269) 389-9102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Plus Healthcare Services LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1457817124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4522 NICKLEPLATE RD",
"city": "IONIA",
"state": "MI",
"postal_code": "488469745",
"telephone_number": "616-485-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 W CEDAR AVE",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486241818",
"telephone_number": "616-485-8571"
}
],
"practiceLocations": [
{
"address_1": "5943 Stadium Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490093016",
"country_code": "US",
"telephone_number": "269-389-9102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELON",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-18",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gladwin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.