Visionary Healthcare

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VISIONARY HEALTHCARE

Practice address

101 Lucas Valley Rd # 317
San Rafael, CA 94903-1791

Phone

(415) 483-1149

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Clohessy, L.ACNPI 1205422284

Title

President

Phone

(415) 483-1149

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Clohessy, LAC

  • Acupuncturist
  • San Rafael, CA
  • NPI 1205422284
  NPD Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1699422535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LUCAS VALLEY RD # 317",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031791",
            "telephone_number": "415-483-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LUCAS VALLEY RD # 317",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031791",
            "telephone_number": "415-483-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "CLOHESSY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-483-1149",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Elena Vince, D.C.
• Colleen Christine Vincent, COTA
• Nita Jean Vincent
• Simran K Virdee
• Vision Academy SF- an Optometric Corp. (Rising Star Optometry)
• Amanda Vissering, LPCC, LMHC, PPSC
• Viva Physical Therapy & Wellness Inc
• Alisha Jean Vogt, LMFT
• Sheba Vohra, M.D.
• Nadia Smith Volk

• Health Maintenance Organization in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.