Caleb Daekyu Lee, L.AC,OMD, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R253173 Issued in MD

Practice address

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031

Phone

(410) 213-5233

NPI assigned

Apr 20, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Refined Integrative Psychiatry & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
  • NPI 1457161226

  Acupuncturist

  Medicare reassignment NPD Authorized official
• Pain and Spine Specialists of Maryland, LLC

  • Specialist
  • Mount Airy, MD
  • NPI 1174884258

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD
• New Hope Acupuncture Wellness Center

  • Acupuncturist
  • Ellicott City, MD
  • NPI 1295165629
  NPD (past)
• Steven M Gordon LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1699254292
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1649413758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9861 BROKEN LAND PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463031",
            "telephone_number": "410-213-5233",
            "fax_number": "410-213-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9861 BROKEN LAND PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463031",
            "telephone_number": "410-213-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8005 High Castle Rd",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210435517",
            "country_code": "US",
            "telephone_number": "443-848-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5018 Dorsey Hall Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210427856",
            "country_code": "US",
            "telephone_number": "410-213-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CALEB",
        "middle_name": "DAEKYU",
        "name_prefix": "Dr.",
        "credential": "L.AC,OMD, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R253173",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reynaldo Labitag Lee-Llacer II, M.D.
• Alicia Velean Lee, M.D.
• Amaris Lee
• Ameryst Lee
• Brianna N Lee
• Calvin Lee, MD
• Catherine Keefer Lee
• Chang Min Lee, DSCPT, OCS, FAAOMPT
• Christine Renee Lee, MPT
• Dana Lee, RN

• Psychiatric/Mental Health Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.