Individual provider Active NPI

Denali Tice, M.D.

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1508124660
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A127567 Issued in CA
Practice address
850 Iron Point Rd
Folsom, CA 95630-9009
Phone
(916) 400-9037
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A127567 CA Primary

Addresses

Primary practice location

850 Iron Point Rd
Folsom, CA 95630-9009

Mailing address

PO Box 803
Folsom, CA 95763-0803
Phone (916) 400-9037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A127567CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denali Tice MD Inc. CurrentSince Aug 27, 2023 Accepting new patients
Theodore a. Goodman MD Inc. Psychiatry PastSince Sep 3, 2025 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Nicole Pardo, MD, Inc Psychiatry PastSince May 30, 2017 Accepting new patients

Locations

850 Iron Point Rd
Folsom, CA 95630
Phone (916) 337-3294

1024 Iron Point Rd
Folsom, CA 95630
Phone (818) 523-1576

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1508124660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957630803",
            "telephone_number": "916-400-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309009",
            "telephone_number": "916-400-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "DENALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A127567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.