Bonnie L Carlson-Green, PHD LP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

LP3309 Issued in MN

Practice address

347 North Smith Avenue
Childrens Specialty Clinic Psychological Services STPL
St Paul, MN 55102

Phone

(651) 220-6720

Fax

(651) 220-6707

NPI assigned

Mar 22, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063471506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CENTRE POINTE DRIVE",
            "address_2": "35-121A CHILDRENS HEALTH CARE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-855-2327",
            "fax_number": "651-855-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 NORTH SMITH AVENUE",
            "address_2": "CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-220-6720",
            "fax_number": "651-220-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON-GREEN",
        "first_name": "BONNIE",
        "middle_name": "L",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP3309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caringhands Home Health Care Inc.
• Suzanne Carl, SPEECH PATHOLOGIST
• Madalyn Marie Carlin, NP
• Kasey Edward Carling, MD
• Angela Carlson Wolf, RN, BSN, SANE A-P
• Amity Alice Carlson, PA-C
• Audra Carlson
• Britta A Carlson, MHS PA-C
• Elizabeth Carlson, PH.D., L.P.
• Emily L Carlson

• Clinical Neuropsychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.