Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Caleb Daekyu Lee, LAC, OMD, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649413758

Dr. Caleb Daekyu Lee, LAC, OMD, PMHNP-BC is a Nurse Practitioner in Columbia, Maryland. Qualified in 2022, 4 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2009
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031
Phone: (410) 213-5233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5018 Dorsey Hall Dr Ste 104, Ellicott City, MD 21042-7856 — (410) 213-5233
  • 8005 High Castle Rd, Ellicott City, MD 21043-5517 — (443) 848-0279

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R253173 (MD)
Acupuncturist Taxonomy 171100000X · Licence U01817 (MD)

Record details

NPI number1649413758
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , OMD , PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 20, 2009
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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