Kusum Bhagwan Punjabi, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

162622 Issued in CA

Practice address

130 Stockton Ave Apt 328
San Jose, CA 95126-2837

Phone

(650) 227-9282

NPI assigned

Apr 22, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 25, 2026 through Apr 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kusum Punjabi Licensed Marriage and Family Therapist PC (Dba Soul Space Psychotherapy)

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1588509996
  NPD Authorized official

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1467397869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STOCKTON AVE APT 328",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262837",
            "telephone_number": "650-227-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STOCKTON AVE APT 328",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262837",
            "telephone_number": "650-227-9282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 The Alameda Ste 319",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951262305",
            "country_code": "US",
            "telephone_number": "650-227-9282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNJABI",
        "first_name": "KUSUM",
        "middle_name": "BHAGWAN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "162622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreya Anna-Purna Pullela
• Nicole Pullen
• Douglas B Pulley, M.D.
• Pepsi Pullum
• Pulmonary Solutions, LLC (ProSUM Health Respiratory)
• Kathleen Anne Aligaen Punsalan, DPT
• Lauren Purcell
• Beverly J Purdy, MD
• Pure One Acupuncture Clinic
• Pure Point Acupuncture, Inc.

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.