Active NPI
Denali Tice, M.D.
- Psychiatry Physician
- Folsom, CA
National Provider Identifier
1508124660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A127567
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127567 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denali Tice MD Inc. | Current | Accepting new patients | |
| Theodore a. Goodman MD Inc. | Psychiatry | Past | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Nicole Pardo, MD, Inc | Psychiatry | Past | 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.
-
- Adult Mental Health Clinic/Center
- Folsom, CA
- NPI 1669155842
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1861920241
-
- Psychiatric Hospital
- Sacramento, CA
- NPI 1952350944
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1174618748
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.