Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Lacivita

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700451291

Nicholas Lacivita is a Psychiatry in Brandon, Mississippi. Graduated from William Carey University College of Osteopathic Medicine in 2021, 5 years ago. Practices with River Region Psychiatry Associates, LLC, a 115-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
MS
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

613 Marquette Rd
Brandon, MS 39042-3038
Phone: (601) 824-0342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Mississippi State Hospital, Whitfield, MS 39193-0157 — (601) 351-8555

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 30993 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1700451291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 26, 2021
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice River Region Psychiatry Associates, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brandon