Organization Active NPI

KDM Psychotherapy PLLC

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1225800527
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KDM PSYCHOTHERAPY PLLC
Practice address
131 Samoset St
1051
Plymouth, MA 02360-4801
Phone
(617) 955-6358
Fax
(617) 890-6848
NPI assigned
Oct 30, 2023
Last updated
Oct 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Authorized official

Name
Katherine Difillippo MontagueNPI 1689099442
Title
Licsw
Phone
(508) 209-9488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

131 Samoset St
1051
Plymouth, MA 02360-4801

Mailing address

131 Samoset St
Plymouth, MA 02360-4801
Phone (508) 209-9488

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1225800527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAMOSET ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604801",
            "telephone_number": "508-209-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SAMOSET ST",
            "address_2": "1051",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604801",
            "telephone_number": "617-955-6358",
            "fax_number": "617-890-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDM PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "DIFILLIPPO",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "508-209-9488"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.