Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Sanders Shaup, PHD, PLLC

Organization Clinical Psychologist · NPI 1649674805

Stacy Sanders Shaup, PHD, PLLC provides Clinical Psychologist services in Coral Springs, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10100 W Sample Rd Ste 331
Coral Springs, FL 33065-3973 Not confirmed with CMS for 10 years — call before visiting
Phone: (954) 752-9353
Fax: (954) 752-9353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 7280 (FL)

Record details

NPI number1649674805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Shaup — Mgrm · (954) 752-9353
NPI enumeratedOctober 17, 2014
Last updated in NPPESJune 7, 2016
Mailing address10100 W Sample Rd, Suite 331, Coral Springs, FL 33065-3973

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