The authors have worked together with the NASP (National Association of School Psychologists) National Emergency Assistance Team (NEAT) for a decade to help coordinate communications around large-scale crisis response efforts. The massive earthquake and tsunami that devastated the northeastern part of Japan and the subsequent response represented a unique and powerful weaving together of past experience and ongoing relationship building. Responding effectively to this natural disaster required (and elicited) collaboration among school psychologists around the world. The issues were complex due to the enormity of the disaster and required a multidimensional response. NASP coordinated this response, which included translations of numerous NASP materials, direct consultation, and emotional support, using a model developed to respond to other large-scale disasters. However, its success truly results from the sum of its particular parts. In this article, the authors describe a number of lessons learned.