Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alec Ballesteros, DO

Individual provider Psychiatry Physician · NPI 1104217413

Alec Ballesteros, DO is a Psychiatry Physician in Grand Rapids, Michigan. Licensed in California and Michigan. Registered with an NPI since 2015.

Licensed in
CA, MI
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 456-0857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5151015439 (MI)
Counselor Taxonomy 101Y00000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 25105 (CA)

Record details

NPI number1104217413
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 9, 2015
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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