Shea Lyn Short Robinson, ED.S, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

574695 Issued in OR

Practice address

1350 Teakwood Ave
Coos Bay, OR 97420-2537

Phone

(602) 432-4522

NPI assigned

Jan 9, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1841000171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 TIMBERLINE DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202196",
            "telephone_number": "602-432-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TEAKWOOD AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202537",
            "telephone_number": "602-432-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHEA",
        "middle_name": "LYN SHORT",
        "credential": "ED.S, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OR",
            "license": "574695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Douglas Ringle, DDS
• Rising Moon Therapy, LLC
• Rivers Edge Behavioral Health LLC
• Jana Lynn Rivers-Norton, PHD
• Robert M Richards, D.C., P.C.
• Sarah Ann Rodgers
• Derek Knight Rogalsky, M.D.
• Karen Rohlf, DPT
• Lisa D Rojas, LCSW
• Gary Dean Roper, PT

• School Psychologist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• School Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.