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

Stacy Sanders Shaup, PHD, PLLC

Organization Clinical Psychologist · NPI 1649674805

Stacy Sanders Shaup, PHD, PLLC is a Clinical Psychologist 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
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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