Healthcare Provider Details

I. General information

NPI: 1922917350
Provider Name (Legal Business Name): RMC MARRIAGE AND FAMILY THERAPY GROUP CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S HAM LN STE D
LODI CA
95242-3547
US

IV. Provider business mailing address

PO BOX 300
WOODBRIDGE CA
95258-0300
US

V. Phone/Fax

Practice location:
  • Phone: 209-625-9516
  • Fax:
Mailing address:
  • Phone: 209-625-9516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL SIMPFENDERFER
Title or Position: CEO/LMFT
Credential:
Phone: 209-625-9516