Active NPI
Kusum Punjabi Licensed Marriage and Family Therapist PC (Dba Soul Space Psychotherapy)
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1588509996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- KUSUM PUNJABI LICENSED MARRIAGE AND FAMILY THERAPIST PC (DBA SOUL SPACE PSYCHOTHERAPY)
- Practice address
- 130 Stockton Ave Apt 328
San Jose, CA 95126-2837 - Phone
- (650) 227-9282
- NPI assigned
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kusum Bhagwan Punjabi, LMFT
- Title
- President and Principal Therapist
- Phone
- (650) 227-9282
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
130 Stockton Ave Apt 328
San Jose, CA 95126-2837
Mailing address
130 Stockton Ave Apt 328
San Jose, CA 95126-2837
Phone (650) 227-9282
Other practice location 1
1570 The Alameda Ste 319
San Jose, CA 95126-2305
Phone (650) 227-9282
National Provider Directory
National Provider DirectoryLocations
1570 The Alameda
Ste 319
San Jose, CA 95126
Phone (408) 207-5269
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1467397869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1588509996",
"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": {
"organization_name": "KUSUM PUNJABI LICENSED MARRIAGE AND FAMILY THERAPIST PC (DBA SOUL SPACE PSYCHOTHERAPY)",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "PUNJABI",
"authorized_official_first_name": "KUSUM",
"authorized_official_middle_name": "BHAGWAN",
"authorized_official_title_or_position": "PRESIDENT AND PRINCIPAL THERAPIST",
"authorized_official_telephone_number": "650-227-9282",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.