STACY SANDERS SHAUP, PHD, PLLC
NPI 1649674805
Psychologist - Clinical in Coral Springs, FL

Q: What is Stacy Sanders Shaup, Phd, PLLC's NPI number?

The NPI number for Stacy Sanders Shaup, Phd, PLLC is 1649674805. It was assigned to this organization in the NPPES registry on October 17, 2014.

Q: What is Stacy Sanders Shaup, Phd, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 17, 2014

10100 W SAMPLE RD, SUITE 331, CORAL SPRINGS, FL 33065(954) 752-9353(954) 752-9353 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacy Sanders Shaup, Phd, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY SANDERS SHAUP, PHD, PLLC (NPI 1649674805) is a healthcare organization registered as a clinical in Coral Springs, Florida and active in the NPI registry since October 2014. The organization lists Stacy Shaup, Mgrm, as its authorized official.

NPPES Registry Identity

NPI1649674805

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSTACY SANDERS SHAUP, PHD, PLLC

Location Address10100 W SAMPLE RD, SUITE 331Coral Springs, FL 33065-3973

Mailing Address10100 W Sample Rd, Suite 331Coral Springs, FL 33065-3973 · (954) 752-9353 · Fax (954) 752-9353

Phone(954) 752-9353

Fax(954) 752-9353

Organization SubpartNo

Authorized OfficialStacy ShaupMgrm · (954) 752-9353

Enumeration DateOctober 17, 2014

Last NPPES UpdateJune 7, 2016

✔ NPI 1649674805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY 7280

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10100 W SAMPLE RD, Coral Springs, FL 33065

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELLA BROWN LMHC

Counselor (Mental Health)

10100 W SAMPLE RD
CORAL SPRINGS, FL 33065

Broward County (561) 771-5838

BEVERLEY N MUCCIARDI LCSW

Social Worker (Clinical)

10100 W SAMPLE RD, SUITE 332
CORAL SPRINGS, FL 33065

Broward County (954) 825-0020

STACY SANDERS SHAUP PH.D.

Psychologist

10100 W SAMPLE RD, SUITE 331
CORAL SPRINGS, FL 33065

Broward County (954) 752-9353

BEVERLEY N MUCCIARDI LCSW PA

Social Worker (Clinical)

10100 W SAMPLE RD, SUITE 332
CORAL SPRINGS, FL 33065

Broward County (954) 825-0020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Sanders Shaup, Phd, PLLC's NPI number?

The NPI number for Stacy Sanders Shaup, Phd, PLLC is 1649674805. It was assigned to this organization in the NPPES registry on October 17, 2014.

Where is Stacy Sanders Shaup, Phd, PLLC located?

Stacy Sanders Shaup, Phd, PLLC is located at 10100 W Sample Rd Suite 331, Coral Springs, FL 33065. The listed phone number is (954) 752-9353.

What is Stacy Sanders Shaup, Phd, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Stacy Sanders Shaup, Phd, PLLC was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.