Provider Type Icon

STACY SANDERS SHAUP PHD PLLC NPI 1649674805


NPI Information

NPI: 1649674805
Provider Name: STACY SANDERS SHAUP, PHD, PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
10100 W SAMPLE RD
SUITE 331
CORAL SPRINGS, FL
ZIP 33065
Phone: (954) 752-9353
Get Directions

STACY SANDERS SHAUP, PHD, PLLC is a clinical psychologist in Coral Springs, FL. The provider is 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. STACY SANDERS SHAUP, PHD, PLLC NPI is 1649674805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10100 W SAMPLE RD
SUITE 331
CORAL SPRINGS, FL
ZIP 33065-973
Phone: (954) 752-9353
Fax: (954) 752-9353

The provider's authorized official is Stacy Shaup .
The authorized official title is Mgrm and has the following contact phone number (954) 752-9353.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 6/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPY 7280FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.