Building what I wished existed yesterday
Technologist, founder, T1D advocate. Fifteen years shipping software. Building AI for behavioral health that actually works.
Started at 14. Still building.
Hospital networks at 16. VoIP and M365 rollouts in my twenties. Data center ops. Then in 2021, co-founded Nextvisit AI with a psychiatrist who lives the documentation problem. I keep ending up at the intersection of healthcare and software that has to not break.
Building Nextvisit AI with a psychiatrist who lives the problem
Dr. Faisal Rafiq spent 15 years trying to keep up with documentation between patient sessions. We built an AI platform that turns those conversations into properly formatted clinical notes as they happen. SOAP notes. DAP notes. The specific paperwork addiction treatment actually needs, not generic summaries that clinicians have to rewrite anyway.
Saving time is part of it. The bigger win is putting the whole patient story in one place: medication compliance, toxicology, counseling progress. When providers can see all of it, treatment decisions stop being guesswork. Bonus: they actually get to go home on time.
Fifteen years of shipping things that work
Languages & Frameworks
- PHP
- Laravel
- Python
- TypeScript
- JavaScript
- Vue.js
- React
- Next.js
- Node.js
- Astro
- Swift
Cloud & Infrastructure
- AWS
- DigitalOcean
- Google Cloud
- Azure
- Firebase
- Vercel
- Docker
- Kubernetes
- GitHub
- CI/CD
- Datadog
AI & Machine Learning
- Anthropic Claude API
- OpenAI API
- Gemini API
- TensorFlow
- LLM Integration
- Speech-to-Text
- Clinical NLP
- Hugging Face
- Prompt Engineering
Healthcare & Compliance
- HIPAA
- SOC 2
- GDPR
- FHIR
- HL7
- Clinical Documentation
- EHR Integration
- Behavioral Health
Living it, building for it, fighting for it
I have Type 1 Diabetes. It isn't the kind you fix with diet or exercise. My pancreas stopped making insulin, and without 24/7 management, things go sideways fast.
That changes how I build. I've seen the math from the patient chair: people die when they can't afford the medication keeping them alive. Healthcare tech should give people more life, not just move paperwork around faster.
- 01
DIY Loop community
Active in the open-source movement building DIY closed-loop insulin systems.
- 02
Breakthrough T1D Walk
Walk the Westchester event every year to raise awareness and money for T1D research.
- 03
Insulin access
Pushing for better access to medication that people literally need to stay alive. I run Omnipod Dash with DIY Loop myself.
Let's build something
Working on healthcare tech, looking for a technical co-founder, or just want to talk shop? Say hi.
ryanyannelli@gmail.com