CINNAMON WESTBROOK PORTER PSY.D.
NPI 1750644613
Clinical Neuropsychologist in Dallas, TX

NPI Status: Active since June 15, 2012

Contact Information

6301 GASTON AVE STE 1132
DALLAS, TX
ZIP 75214
Phone: (408) 357-3124
Fax: (469) 557-1755

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  • Individual
  • Female
  • Years of Experience 10
  • Clinical Neuropsychologist
  • Accepts Medicare Approved Payment

About CINNAMON WESTBROOK PORTER

This page provides the complete NPI Profile along with additional information for Cinnamon Westbrook Porter, a provider established in Dallas, Texas with a medical specialization in Clinical Neuropsychologist and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1750644613 assigned on June 2012. The practitioner's primary taxonomy code is 103G00000X with license number 40200 (TX). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI
1750644613
Provider Name
CINNAMON WESTBROOK PORTER PSY.D.
Gender
Female
Entity Type
Individual
Location Address
6301 GASTON AVE STE 1132 DALLAS, TX 75214
Location Phone
(408) 357-3124
Location Fax
(469) 557-1755
Mailing Address
6301 GASTON AVE STE 1132 DALLAS, TX 75214
Mailing Phone
(408) 357-3124
Mailing Fax
(469) 557-1755
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
06-15-2012
Last Update Date
07-30-2025
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Location Map

Secondary Locations

  • 1000 Fremont Ave Ste 145
    Los Altos, CA 94024
    (408) 357-3124
  • 1224 Vine St
    Los Angeles, CA 90038
    (323) 564-4434

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
40200
License State
TX
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

29993 (CA)

Medicare Participation & PECOS Enrollment Status

Cinnamon Westbrook Porter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 1355870015

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250124000667

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750644613
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100124862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 4 + 8 + 6 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1750644613 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538978085VIA NOVA NEUROPSYCHOLOGY
Organization
Psychologist6301 GASTON AVE STE 1132
DALLAS, TX 75214
(408) 357-3124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750644613, enumerated in the NPI registry as an "individual" on June 15, 2012

The provider is located at 6301 Gaston Ave Ste 1132 Dallas, Tx 75214 and the phone number is (408) 357-3124

The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X

The provider has more than 10 years of experience.

This NPI record was last updated on June 15, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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