Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC - Nurse Practitioner in Ellicott City, MD

Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Ellicott City, Maryland. Dr Caleb Daekyu Lee is licensed to practice in Maryland (license number R253173) and his current practice location is 9380 Baltimore National Pike Ste 109, Ellicott City, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 313-8156.

NPI number for Dr Caleb Daekyu Lee is 1649413758 and his current mailing address is 8005 High Castle Rd, Ellicott City, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649413758.

Contact Information

Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC
9380 Baltimore National Pike Ste 109,
Ellicott City, MD 21042-2826
(410) 313-8156
(410) 313-8157

Map and Direction




Provider's Profile

Full NameDr Caleb Daekyu Lee
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location9380 Baltimore National Pike Ste 109, Ellicott City, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649413758
  • Provider Enumeration Date: 04/20/2009
  • Last Update Date: 07/31/2024

Medical Identifiers

Medical identifiers for Dr Caleb Daekyu Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649413758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health R253173 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R253173 (Maryland)Primary
171100000XAcupuncturist U01817 (Maryland)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Caleb Daekyu Lee is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC
8005 High Castle Rd,
Ellicott City, MD 21043-5517

Ph: (443) 848-0279
Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC
9380 Baltimore National Pike Ste 109,
Ellicott City, MD 21042-2826

Ph: (410) 313-8156

Reviews and Comments


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