IndividualActive
Stacy Shaup, PH.D.
NPI 1144277617 · Psychologist · Coral Springs, FL
Provider details
- NPI number
- 1144277617
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY 7280 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10100 W Sample Rd
Suite 331
Coral Springs, FL 33065-3973
Phone: (954) 752-9353
Fax: (954) 752-9353
Street-level locationGet directions
Mailing address
10100 W Sample Rd
Coral Springs, FL 33065-3973
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2016-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.