Individual provider Active NPI

Cinnamon Westbrook Porter, PSY.D.

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1750644613
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
40200 Issued in TX
Practice address
6301 Gaston Ave Ste 1132
Dallas, TX 75214-3956
Phone
(408) 357-3124
Fax
(469) 557-1755
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 29993 CA
Clinical Neuropsychologist 103G00000X 40200 TX Primary

Addresses

Primary practice location

6301 Gaston Ave Ste 1132
Dallas, TX 75214-3956

Mailing address

6301 Gaston Ave Ste 1132
Dallas, TX 75214-3956
Phone (408) 357-3124

Other practice location 1

1000 Fremont Ave Ste 145
Los Altos, CA 94024-6057
Phone (408) 357-3124

Other practice location 2

1224 Vine St
Los Angeles, CA 90038-1612
Phone (323) 564-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124000667 TX Practitioner - Psychologist Billing Independently 1355870015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6301 Gaston Ave
Suite 1132
Dallas, TX 75214-3956
Phone (408) 357-3124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29993CAMDGeneral Practice Dentistry
40200TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Via Nova Neuropsychology Psychologist CurrentSince Jan 1, 2025 Accepting new patients

Locations

6301 Gaston Ave
Ste 1132
Dallas, TX 75214
Phone (408) 357-3124

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1750644613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 1132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143956",
            "telephone_number": "408-357-3124",
            "fax_number": "469-557-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 1132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143956",
            "telephone_number": "408-357-3124",
            "fax_number": "469-557-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Fremont Ave Ste 145",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940246057",
            "country_code": "US",
            "telephone_number": "408-357-3124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 Vine St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900381612",
            "country_code": "US",
            "telephone_number": "323-564-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTBROOK PORTER",
        "first_name": "CINNAMON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "29993",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "40200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.